Photo of Dr Rebecca Ryan, Psychologist in B1, England
Dr Rebecca Ryan
Psychologist, HCPC - Clin. Psych.
Verified Verified
Birmingham B1  (Online Only)
Life can be challenging & we're all doing our best to navigate it. That's where therapy comes in - a safe space where you can be heard, understood, & realise that you're not alone. My training and experience guide me to provide a personalised approach to your care. Recognising that each person is unique, the therapeutic journey begins with understanding the roots of your current difficulties. I draw on a variety of psychological models to offer the support that best fits your needs. I’ve worked with individuals from all walks of life, with needs such as trauma, relational difficulties, complex emotional needs, depression & anxiety.
Life can be challenging & we're all doing our best to navigate it. That's where therapy comes in - a safe space where you can be heard, understood, & realise that you're not alone. My training and experience guide me to provide a personalised approach to your care. Recognising that each person is unique, the therapeutic journey begins with understanding the roots of your current difficulties. I draw on a variety of psychological models to offer the support that best fits your needs. I’ve worked with individuals from all walks of life, with needs such as trauma, relational difficulties, complex emotional needs, depression & anxiety.
0121 827 1161 View 0121 827 1161
Dr Cathy Ghaib
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Birmingham B1  (Online Only)
Hello! I specialise in working with adults who experience a range of difficulties including trauma, anxiety, self-esteem, depression, pregnancy and difficulties in culture and religious identity. Sometimes life can be difficult, we can feel lost and not know who we are or how to navigate our life. Therapy is not just about treating your symptoms and focusing on your difficulties it is also about getting to know you, and what makes you, you...even when you are unsure. You may or may not know what might help which is why I am happy to talk this through with you in a free initial consultation and we can decide together.
Hello! I specialise in working with adults who experience a range of difficulties including trauma, anxiety, self-esteem, depression, pregnancy and difficulties in culture and religious identity. Sometimes life can be difficult, we can feel lost and not know who we are or how to navigate our life. Therapy is not just about treating your symptoms and focusing on your difficulties it is also about getting to know you, and what makes you, you...even when you are unsure. You may or may not know what might help which is why I am happy to talk this through with you in a free initial consultation and we can decide together.
0121 728 2205 View 0121 728 2205
Photo of Irene Luque, Psychologist in B1, England
Irene Luque
Psychologist, MSc, GMBPsS
Verified Verified
Birmingham B1  (Online Only)
Do you feel you don’t have goals or you can’t achieve them although you have tried everything? Do you feel paralysed or overwhelmed facing certain situations? Do you feel everything is annoying or your anger, sadness or fear last for long time? Do you feel stuck with some thoughts and you can’t stop overthinking them? Do you see these features within a member of your family? I think everyone will feel like this over the course of our lives, even it can be adaptative. However, sometimes we can struggle to find clarity and understanding , at the same time that respect both ourselves and others.
Do you feel you don’t have goals or you can’t achieve them although you have tried everything? Do you feel paralysed or overwhelmed facing certain situations? Do you feel everything is annoying or your anger, sadness or fear last for long time? Do you feel stuck with some thoughts and you can’t stop overthinking them? Do you see these features within a member of your family? I think everyone will feel like this over the course of our lives, even it can be adaptative. However, sometimes we can struggle to find clarity and understanding , at the same time that respect both ourselves and others.
0121 827 8976 View 0121 827 8976
Photo of Dr Ed Smith, Psychologist in B1, England
Dr Ed Smith
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
Hi there! I specialise in working with complex emotional needs using a range of evidence based therapies. My clients have often experienced a range of adverse experiences such as trauma, neglect or emotional abuse and may be experiencing depression, anxiety, low self worth, intense emotionality or difficulty in relationships. I see people for both longer term and time limited therapy. I work well with people who experience shame around their issues or experiences, who are anxious about therapy or who have found previous therapy unhelpful. I also provide supervision and training to other psychologists and institutions.
Hi there! I specialise in working with complex emotional needs using a range of evidence based therapies. My clients have often experienced a range of adverse experiences such as trauma, neglect or emotional abuse and may be experiencing depression, anxiety, low self worth, intense emotionality or difficulty in relationships. I see people for both longer term and time limited therapy. I work well with people who experience shame around their issues or experiences, who are anxious about therapy or who have found previous therapy unhelpful. I also provide supervision and training to other psychologists and institutions.
0121 387 0374 View 0121 387 0374
Photo of Sonia Parveen, Counsellor in B1, England
Sonia Parveen
Counsellor, MBACP
Verified Verified
I am a Registered Counsellor of the British Association for Counselling and Psychotherapists working with clients of all ages across UK. I have a detailed understanding of the BACP Professional Conduct and the Ethical Framework. The time I spend in therapy is totally dedicated to you, facilitating the process of self-identity. As a Counsellor, I will listen and support your story, helping you to understand yourself better. I am a firm believer in individuality and uniqueness. “You are your own individual of expression”.
I am a Registered Counsellor of the British Association for Counselling and Psychotherapists working with clients of all ages across UK. I have a detailed understanding of the BACP Professional Conduct and the Ethical Framework. The time I spend in therapy is totally dedicated to you, facilitating the process of self-identity. As a Counsellor, I will listen and support your story, helping you to understand yourself better. I am a firm believer in individuality and uniqueness. “You are your own individual of expression”.
0121 726 1274 View 0121 726 1274
Photo of Julie Wilkes Mbacp (Accred) - Online Sessions Only, Counsellor in B1, England
Julie Wilkes Mbacp (Accred) - Online Sessions Only
Counsellor, MBACP
Verified Verified
Birmingham B1  (Online Only)
Whilst many of us have supportive family and friends who can help with difficulties we face, at times, the closeness of these relationships can detract from our personal journey of growth and discovery. Whilst I appreciate that the thought of counselling may be a difficult step, we will walk the journey together. Offering a neutral perspective throughout sessions, we will explore any issues you wish to share. Providing a therapeutic relationship with honesty and empathy, we will look into any difficulty within a non-judgmental and confidential space at a pace which enables thorough reflection and scope for change.
Whilst many of us have supportive family and friends who can help with difficulties we face, at times, the closeness of these relationships can detract from our personal journey of growth and discovery. Whilst I appreciate that the thought of counselling may be a difficult step, we will walk the journey together. Offering a neutral perspective throughout sessions, we will explore any issues you wish to share. Providing a therapeutic relationship with honesty and empathy, we will look into any difficulty within a non-judgmental and confidential space at a pace which enables thorough reflection and scope for change.
0121 661 7659 View 0121 661 7659
Photo of Nour El Masry, Psychotherapist in B1, England
Nour El Masry
Psychotherapist, MUKCP
Verified Verified
You may be looking here because you are dealing with upsetting or challenging feelings and experiences, feeling overwhelmed, or having troubles in your relationships. If so, psychotherapy could help you. In the psychotherapy sessions you can explore various aspects of your life and feelings, talking about them freely and openly in a way that is rarely possible with friends or family. Bottled-up feelings such as anger, anxiety, grief and embarrassment can become very intense and counselling offers an opportunity to explore them, with the possibility of making them easier to understand.
You may be looking here because you are dealing with upsetting or challenging feelings and experiences, feeling overwhelmed, or having troubles in your relationships. If so, psychotherapy could help you. In the psychotherapy sessions you can explore various aspects of your life and feelings, talking about them freely and openly in a way that is rarely possible with friends or family. Bottled-up feelings such as anger, anxiety, grief and embarrassment can become very intense and counselling offers an opportunity to explore them, with the possibility of making them easier to understand.
0121 817 7071 View 0121 817 7071
Photo of Samiyya Khan, Psychotherapist in B1, England
Samiyya Khan
Psychotherapist, MBABCP
Verified Verified
I have developed substantial knowledge and experience within the private sector of working at Priory Organisation. Now, I am venturing out to build my own practice at London, Harley Street. I have over 10 years in primary and secondary mental health within the adult sector. This was in the context of several services including forensic settings, CAMHS, eating disorder, personality disorder units, in-patient acute/PICU wards, rehabilitation units and neurological/brain injury units. In 2016, I began to deliver psychological therapy/CBT in various IAPT programmes.
I have developed substantial knowledge and experience within the private sector of working at Priory Organisation. Now, I am venturing out to build my own practice at London, Harley Street. I have over 10 years in primary and secondary mental health within the adult sector. This was in the context of several services including forensic settings, CAMHS, eating disorder, personality disorder units, in-patient acute/PICU wards, rehabilitation units and neurological/brain injury units. In 2016, I began to deliver psychological therapy/CBT in various IAPT programmes.
01564 331527 View 01564 331527
Photo of Dr Elaine Catherine Frawley, Psychologist in B1, England
Dr Elaine Catherine Frawley
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
I offer therapy to adults and young people who are struggling with psychological distress and/or mental health issues. I work with individuals who wish to increase their understanding and awareness of themselves in order to progress in any aspect of their lives. I have the clinical expertise to work with a variety of difficulties and I use a variety of therapeutic models and approaches to facilitate this. I currently work as a Principal Psychologist for the NHS.
I offer therapy to adults and young people who are struggling with psychological distress and/or mental health issues. I work with individuals who wish to increase their understanding and awareness of themselves in order to progress in any aspect of their lives. I have the clinical expertise to work with a variety of difficulties and I use a variety of therapeutic models and approaches to facilitate this. I currently work as a Principal Psychologist for the NHS.
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Photo of Dr Rob Jobe, Psychologist in B1, England
Dr Rob Jobe
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
I am a highly experienced HCPC registered Clinical Psychologist and Systemic Practitioner; I have over 12 years’ experience of working as a Clinical Psychologist in the NHS. I have worked as a senior member of staff within a variety of Paediatric specialties supporting children, families, adults and professionals. As an experienced Clinical Psychologist and Systemic Practitioner I work with individuals, families and systems in a collaborative way. I aim to work alongside my clients to increase their understanding of issues and empower them to make effective change.
I am a highly experienced HCPC registered Clinical Psychologist and Systemic Practitioner; I have over 12 years’ experience of working as a Clinical Psychologist in the NHS. I have worked as a senior member of staff within a variety of Paediatric specialties supporting children, families, adults and professionals. As an experienced Clinical Psychologist and Systemic Practitioner I work with individuals, families and systems in a collaborative way. I aim to work alongside my clients to increase their understanding of issues and empower them to make effective change.
0121 387 3628 View 0121 387 3628
Photo of Jas Dhillon, Counsellor in B1, England
Jas Dhillon
Counsellor, MSc, MBACP
Verified Verified
I provide empathetic and effective therapy for individuals dealing with a variety of emotional and psychological challenges. This includes helping clients manage anxiety, depression and stress, improve self-esteem and self-confidence as well as navigate complex relationship dynamics and family issues. I also offer support and guidance for those coping with grief, high levels of stress, persistent sadness and anger management issues.
I provide empathetic and effective therapy for individuals dealing with a variety of emotional and psychological challenges. This includes helping clients manage anxiety, depression and stress, improve self-esteem and self-confidence as well as navigate complex relationship dynamics and family issues. I also offer support and guidance for those coping with grief, high levels of stress, persistent sadness and anger management issues.
0121 809 5546 View 0121 809 5546
Photo of The Growth & Guidance Clinic, Psychotherapist in B1, England
The Growth & Guidance Clinic
Psychotherapist, MSc
Verified Verified
My Name is Letoya Bailey and I consider myself an incredibly grateful person. Every day I get to do work that not only feels meaningful and fulfilling but also, to me, feels like nothing short of a calling. ​ I believe wholeheartedly in the transformative power of the work of therapy and I consider it an honour to be able to support you on your journey. I work with the full range of mental health difficulties, from short term to those that are severe. Emotional struggles present themselves in many ways, for example, Depression, Anxiety and Relationship Difficulties.
My Name is Letoya Bailey and I consider myself an incredibly grateful person. Every day I get to do work that not only feels meaningful and fulfilling but also, to me, feels like nothing short of a calling. ​ I believe wholeheartedly in the transformative power of the work of therapy and I consider it an honour to be able to support you on your journey. I work with the full range of mental health difficulties, from short term to those that are severe. Emotional struggles present themselves in many ways, for example, Depression, Anxiety and Relationship Difficulties.
0121 285 3639 View 0121 285 3639
Photo of Nadine Wilson, Counsellor in B1, England
Nadine Wilson
Counsellor, MSc, MUKCP
Verified Verified
I warmly welcome you to my page. You have taken a courageous first step towards improving your life satisfaction. I know that sometimes our sense of direction and ways of coping in life can get a little out of sync and even friends or loved ones seem absent or unable to help. Sometimes they're part of the problems we are dealing with. Whether you're seeking a simple improvement or healing from deep wounds, within yourself and/or with others, I can help.
I warmly welcome you to my page. You have taken a courageous first step towards improving your life satisfaction. I know that sometimes our sense of direction and ways of coping in life can get a little out of sync and even friends or loved ones seem absent or unable to help. Sometimes they're part of the problems we are dealing with. Whether you're seeking a simple improvement or healing from deep wounds, within yourself and/or with others, I can help.
0121 728 6603 View 0121 728 6603
Photo of Jessica Reed, Counsellor in B1, England
Jessica Reed
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Hello and welcome! I understand how difficult it can be to embark on a journey of self healing and discovery such as counselling- whether you are ready to pick up the phone right this second or you are just browsing for now, the fact that you have made it this far is a huge step. I believe that no two individuals are the same and my practice reflects this.
Hello and welcome! I understand how difficult it can be to embark on a journey of self healing and discovery such as counselling- whether you are ready to pick up the phone right this second or you are just browsing for now, the fact that you have made it this far is a huge step. I believe that no two individuals are the same and my practice reflects this.
01270 447601 View 01270 447601
Photo of Dragonfly Counselling Cornwall, Counsellor in B1, England
Dragonfly Counselling Cornwall
Counsellor, MSc, MBACP
Verified Verified
I am passionately committed to finding out what feels safe for each client, in order to offer a safe, therapeutic space, with empathy, warmth and unconditional positive regard. I work in a holistic way, bringing awareness to mind, body, emotions & soul (aka "true self", “authentic self”). I deeply believe that authentic, human relationships are a powerful tool towards positive change. I believe in the uniqueness of each human being and appreciate that "one size doesn't fit all". This is why my continuous commitment to training over the years has enriched my skills & knowledge and allows me to adjust my approach to client needs.
I am passionately committed to finding out what feels safe for each client, in order to offer a safe, therapeutic space, with empathy, warmth and unconditional positive regard. I work in a holistic way, bringing awareness to mind, body, emotions & soul (aka "true self", “authentic self”). I deeply believe that authentic, human relationships are a powerful tool towards positive change. I believe in the uniqueness of each human being and appreciate that "one size doesn't fit all". This is why my continuous commitment to training over the years has enriched my skills & knowledge and allows me to adjust my approach to client needs.
01726 219582 View 01726 219582
Photo of Eli Pines, Psychotherapist in B1, England
Eli Pines
Psychotherapist, MBACP
Verified Verified
87 Endorsed
Birmingham B1  (Online Only)
It is often hard for a lot of us to be motivated enough to reach out for help, but it is a important and vital part of getting helped. So you have taken the first step in the right direction! I would be glad to hear from you to see if I can help you."What to expect? I have a flexible approach to our sessions, I offer brief intervention work for short term problems which may be a reaction to a life event. Longer term therapy for difficulties you may have been experiencing over a long period of time.
It is often hard for a lot of us to be motivated enough to reach out for help, but it is a important and vital part of getting helped. So you have taken the first step in the right direction! I would be glad to hear from you to see if I can help you."What to expect? I have a flexible approach to our sessions, I offer brief intervention work for short term problems which may be a reaction to a life event. Longer term therapy for difficulties you may have been experiencing over a long period of time.
020 8176 6735 View 020 8176 6735
Photo of Mo Perkins, Psychotherapist in B1, England
Mo Perkins
Psychotherapist, MA, MUKCP
Verified Verified
Waitlist for new clients
Are you wondering what's happened to the happy family life you once had? Do you feel frustrated with your child's challenging behaviour? Is there something going on in your own life or your intimate relationship that you know is impacting your children and getting in the way of the happy life you deserve? So what's critical for you to resolve right now and what's going to happen if you don't get this sorted?
Are you wondering what's happened to the happy family life you once had? Do you feel frustrated with your child's challenging behaviour? Is there something going on in your own life or your intimate relationship that you know is impacting your children and getting in the way of the happy life you deserve? So what's critical for you to resolve right now and what's going to happen if you don't get this sorted?
01922 214708 View 01922 214708
Photo of Daryl Nicholas Counselling and Psychotherapy, Counsellor in B1, England
Daryl Nicholas Counselling and Psychotherapy
Counsellor, MA, MBACP
Verified Verified
As an Integrative counsellor and psychotherapist, I have undergone extensive training which brings together effective contemporary approaches to therapy, drawing from a variety of models to suit your individual needs. I have over sixteen years experience supporting adults and young people to address a range of issues, including: anxiety/panic, depression, stress, loss and bereavement, identity issues, sexuality, trauma/abuse, low self-esteem, relationship issues, life transitions and careers and life direction. I also offer the comprehensive 'INSIGHT self-discovery programmes' (visit darylnicholas.com for more details).
As an Integrative counsellor and psychotherapist, I have undergone extensive training which brings together effective contemporary approaches to therapy, drawing from a variety of models to suit your individual needs. I have over sixteen years experience supporting adults and young people to address a range of issues, including: anxiety/panic, depression, stress, loss and bereavement, identity issues, sexuality, trauma/abuse, low self-esteem, relationship issues, life transitions and careers and life direction. I also offer the comprehensive 'INSIGHT self-discovery programmes' (visit darylnicholas.com for more details).
01926 800596 View 01926 800596
Photo of Harvey Lidstone-Lane, Counsellor in B1, England
Harvey Lidstone-Lane
Counsellor, MBACP
Verified Verified
Hello, my name is Harvey and I am a therapist working in Cheltenham, Gloucestershire and Birmingham. I currently work for Here for you Counselling, a private practice therapeutic service I founded. I have experience working with many different presenting issues, including; depression, anxiety, stress, relationship problems, bereavement, low self-esteem, PTSD, abuse and many more. I have worked with I wide range of clients, however I have particular experience working with young people, aged 18-35. I am able to work in a traditional face-to-face setting or remotely via Skype/Zoom. I offer both 25 minute or 50 minute sessions.
Hello, my name is Harvey and I am a therapist working in Cheltenham, Gloucestershire and Birmingham. I currently work for Here for you Counselling, a private practice therapeutic service I founded. I have experience working with many different presenting issues, including; depression, anxiety, stress, relationship problems, bereavement, low self-esteem, PTSD, abuse and many more. I have worked with I wide range of clients, however I have particular experience working with young people, aged 18-35. I am able to work in a traditional face-to-face setting or remotely via Skype/Zoom. I offer both 25 minute or 50 minute sessions.
020 3958 4304 View 020 3958 4304
Photo of Dr Leanne Tomkins, Psychologist in B1, England
Dr Leanne Tomkins
Psychologist, HCPC - Clin. Psych.
Verified Verified
Hello! I am a qualified Clinical Psychologist experienced in working with adults, children and families using a wide range of psychological approaches. I work one to one with adults and children of all ages offering evidence based therapy for a wide range of emotional and mental health difficulties. I also work with parents and families to support you to understand and make sense of any emotional well-being concerns you may have for your child and family. Life can be a challenge for most of us at times for lots of different reasons. Accessing the right support can help you to thrive and improve your emotional 'wellness'.
Hello! I am a qualified Clinical Psychologist experienced in working with adults, children and families using a wide range of psychological approaches. I work one to one with adults and children of all ages offering evidence based therapy for a wide range of emotional and mental health difficulties. I also work with parents and families to support you to understand and make sense of any emotional well-being concerns you may have for your child and family. Life can be a challenge for most of us at times for lots of different reasons. Accessing the right support can help you to thrive and improve your emotional 'wellness'.
0121 827 1652 View 0121 827 1652

See more therapy options for B1

Nearby Searches for B1

How does your Counsellor compare?

Number of Counsellors in B1

200+

Average cost per session

£60

Counsellors in B1 who prioritize treating:

94% Anxiety
89% Depression
84% Self Esteem
83% Stress
76% Relationship Issues
69% Trauma and PTSD
65% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

61% Aviva
54% AXA PPP
44% Vitality

How Counsellors in B1 see their clients

61% In Person and Online
39% Online Only

Gender breakdown

70% Female
27% Male
3% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in B1?

Search for nearby therapists or counsellors by inputting your city, postcode, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postcode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Counsellors and Psychotherapists listed in the directory are members of the main professional associations, mainly the British Association for Counselling and Psychotherapy (BACP) and the UK Council for Psychotherapy (UKCP). Most Psychologists in the directory are accredited members of the British Psychological Society (BPS) and/or are registered in the Health and Care Professions Council (HPCP).

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for psychotherapists and counsellors in the UK, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Counsellors, psychotherapists and psychologists can all provide counselling or talking therapy and have credentials and experience that enable them to do so in the UK. Psychologists have earned a degree in psychology and many are members of the British Psychological Society (BPS) and have completed a postgraduate qualification in a specialism. Counsellors and Psychotherapists are not required to have a psychology degree, but to belong to a professional organisation such as the BACP or UKCP, they are required to have completed a training course as well as clinical and supervision hours.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the UK could be between £30 - £60 when seeing a counsellor and £60 - £150 and up when seeing a clinical psychologist. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. The NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postcode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the BACP, the UKCP, or BPS are bound by an ethical framework that requires them to uphold a confidentiality agreement. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there has been participation in a criminal act or act of terror, or if there is potential or known harm to the client or others, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.